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Doctor insights on:
Akathisia

Akathisia (Overview)

The best way to consider akathisia is to imagine the need to move. Patients with this condition have major problems sitting still. They have a need to move. This can be a side effect of medication, may be associated with disease such as parkinsons, or may be a normal variant. Most doctors use it it describe the side effect of medications.

Akathisia (Overview)

The best way to consider akathisia is to imagine the need to move. Patients with this condition have major problems sitting still. They have a need to move. This can be a side effect of medication, may be associated with disease such as parkinsons, or may be a normal variant. Most doctors use it it describe the side effect of medications.

3

Seroquel (quetiapine):
can cause akathisia, although it is rare. It's been reported in the literature especially in patients who are particularly prone to developing what's called "extrapyramidal" or this type of uncomfortable restless side effect.
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Talk w/psychiatrist:
You have not asked a question here, but have expressed your displeasure with some of the available antipsychotic medications for your illness. Please discuss this with your own psychiatrist, as there are still other options available. Paranoid schizophrenia is a serious illness and does need treatment. Best wishes.
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7

No:
If someone is taking Geodon (ziprasidone) for schizophrenia, it acts to alleviate schizophrenic symptoms. So if the medication is stopped and it has controlled psychotic symptoms (like hearing voices) , these are likely to return. Commonly people stop antipsychotics misunderstanding that it is the medication controlling symptoms. The cause of schizophrenia is in part genetic but the cause is not clear.
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8

It will effect each:
individually differently. Akathisia occurs in up to 22% with Latuda & is dose-related. Akathisia/akathisia events occur in up to 27% with Zyprexa. Akathisia occurs most often at a Zyprexa dose of 15 mg/day. This data was obtained from the Drugs. Com website.
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13

Several:
Classes of drugs are used, but the most important is to stop or reduce the dose of the medication which is usually the cause, or to switch to another drug which is less likely to cause it. Beta blockers, clonidine, mirtazepine and anticholinergics (biperidin, akineton, benadryl) have all been used with varying success rates.
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Akathisia:
Akathisia occurs in up to 22% with Latuda & is dose-related. Akathisia/akathisia events occur in up to 27% with Zyprexa. Akathisia occurs most often at a Zyprexa dose of 15 mg/day. Rate for Fanapt is 1% to 10%. Rate for Saphris is 1% to 10%. This data was obtained from the Drugs. Com website.
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17

EPS:
Cogentin (benztropine) is used to treat only the extrapyramidal side effects (eps) from antipsychotics. These include tremor, rigidity, and akithesia. It does not counteract other side effects of antipsychotics, such as cardiac issues, metabolic issues, or changes in mentation.
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19

About even:
TD is time dependent. As such a drug that is new on the market cannot cause it (until it has been out for at least 5 and more likley 10+ years). Seroquel (quetiapine) is newest and probably ONLY for that reason so far has less TD (but I doubt it actually is that much better).
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20

No:
Only a minority of patients treated with these drugs, particularly the newer ones (second generation antipsychotics) get any movement problems, and tardive dyskinesia is very rare with the newer drugs. Akasthesia is more common, but usually goes away with lowering the dose or switching drugs. If these problems do not develop while taking the drug, they will very rarely occur later.
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